Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,165.95 / $15,488.17	Facility		$1,148.15	$6,165.95	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $2,187.76	Professional		$912.01	$1,047.13	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,454.71	Professional		$977.24	$1,445.44	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $10,000.00	Professional		$1,071.52	$1,445.44	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,089.30	Professional		$954.99	$1,202.26	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,288.25	Professional		$870.96	$1,096.48	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,344.23	Professional		$1,174.90	$1,479.11	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,995.26	Facility		$933.25	$1,288.25	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $9,549.93	Facility		$851.14	$1,230.27	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $9,549.93	Professional		$851.14	$1,230.27	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,995.26	Professional		$741.31	$1,148.15	$1,995.26